Organization Active NPI

MCMC LLC

  • Transportation Broker
  • Quincy, MA
National Provider Identifier
1104190610
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
MCMC LLC
Practice address
300 Crown Colony Dr
Suite 203
Quincy, MA 02169-0904
Phone
(617) 375-7700
Fax
(617) 375-7777
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cindy Liu, RN
Title
Compliance Analyst
Phone
(301) 652-1818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

300 Crown Colony Dr
Suite 203
Quincy, MA 02169-0904

Mailing address

300 Crown Colony Dr
Suite 203
Quincy, MA 02169-0904
Phone (617) 375-7700

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1104190610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CROWN COLONY DR",
            "address_2": "SUITE 203",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690904",
            "telephone_number": "617-375-7700",
            "fax_number": "617-375-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CROWN COLONY DR",
            "address_2": "SUITE 203",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690904",
            "telephone_number": "617-375-7700",
            "fax_number": "617-375-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "COMPLIANCE ANALYST",
        "authorized_official_telephone_number": "301-652-1818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.